Individual
MS. KYLA ANDREA CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 CHAMOUNIX RD, ST DAVIDS, PA 19087-3612
(215) 694-2042
Mailing address
277 HIDDEN SPRING LN, LANGHORNE, PA 19047-2328
(215) 694-2042
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
29800787
PA
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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